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DENEE MARIE TYSOL SUDCC
NPI 1184392631
Case Manager/Care Coordinator in Fairfield, CA

Active since August 31, 2021
2101 COURAGE DR # MS 10-100, FAIRFIELD, CA 94533(707) 784-2271 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 2, 2025, Jun 25, 2024 (2 updates tracked since 2024).

About Denee Marie Tysol Sudcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENEE MARIE TYSOL SUDCC (NPI 1184392631) is an individual case manager/care coordinator provider in Fairfield, California and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1184392631
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDENEE MARIE TYSOLCredential: SUDCC
Location Address2101 COURAGE DR # MS 10-100Fairfield, CA 94533-6717
Mailing Address2101 Courage Dr # Ms 10-100Fairfield, CA 94533-6717 · (707) 784-2271
Phone(707) 784-2271
Sole ProprietorYes
Enumeration DateAugust 31, 2021
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1184392631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 13816 (CA)
2101 COURAGE DR # MS 10-100, Fairfield, CA 94533
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KULBIR K POONI
Counselor (Mental Health)
2101 COURAGE DR # MS 10-100
FAIRFIELD, CA 94533
Solano County (707) 784-8602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denee Tysol's NPI number?

The NPI number for Denee Tysol is 1184392631. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Denee Tysol located?

Denee Tysol practices at 2101 Courage Dr # Ms 10-100, Fairfield, CA 94533. The listed phone number is (707) 784-2271.

What is Denee Tysol's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Denee Tysol was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.